<include file="header"/>
	<div class="head clearfix">
		<a href="#" class="iconfont icon-zuo"></a>
		<span class="head-name">确认信息</span>
	</div>
	<div class="lists">
		<p class="title">{BEESCRM:$data.title}</p>
		<p class="text-gray"><span class="iconfont icon-shijian"></span>{BEESCRM:$data.enroll_time}</p>
		<p class="text-gray"><span class="iconfont icon-ditu"></span>{BEESCRM:$data.address}</p>
	</div>
	<if condition="$data['cost'] gt 0">
		<div class="lists">参会费用：¥<input name="cost" value="{BEESCRM:$data.cost}"></div>
	</if>
	<p class="blobk-title text-12">必填信息</p>
	<div class="form-box element_required">
		<volist name="field.required" id="vo">
			<p class="form-list">
				<if condition="$vo['element_type'] eq 0">
					<input class="submit_element" type="text" id="{BEESCRM:$vo.field_id}" name="{BEESCRM:$vo.field_name}" placeholder="请输入您的{BEESCRM:$vo.field_name}"/>
					<input class="element_rule" type="hidden" value="{BEESCRM:$vo.rule}">
				<elseif condition="$vo['element_type'] eq 1" />
					<textarea class="submit_element" id="{BEESCRM:$vo.field_id}" name="{BEESCRM:$vo.field_name}"></textarea>
				<elseif condition="$vo['element_type'] eq 2" />
					<select class="submit_element" id="{BEESCRM:$vo.field_id}" name="{BEESCRM:$vo.field_name}">
						<option value="">{BEESCRM:$vo.field_name}</option>
						<volist name="vo.element_value" id="v">
							<option value="{BEESCRM:$v}">{BEESCRM:$v}</option>
						</volist>
					</select>
				<elseif condition="$vo['element_type'] eq 3" />
					<input class="submit_element date" id="{BEESCRM:$vo.field_id}" name="{BEESCRM:$vo.field_name}" type="text" placeholder="{BEESCRM:$vo.field_name}" readonly="readonly"/>
				</if>
			</p>
		</volist>
	</div>

	<p class="blobk-title text-12">选填信息</p>
	<div class="form-box element_optional">
		<volist name="field.optional" id="vo">
			<p class="form-list">
				<if condition="$vo['element_type'] eq 0">
					<input class="submit_element" type="text" id="{BEESCRM:$vo.field_id}" name="{BEESCRM:$vo.field_name}" placeholder="请输入您的{BEESCRM:$vo.field_name}"/>
				<elseif condition="$vo['element_type'] eq 1" />
					<textarea class="submit_element" id="{BEESCRM:$vo.field_id}" name="{BEESCRM:$vo.field_name}"></textarea>
				<elseif condition="$vo['element_type'] eq 2" />
					<select class="submit_element" id="{BEESCRM:$vo.field_id}" name="{BEESCRM:$vo.field_name}">
						<option value="">{BEESCRM:$vo.field_name}</option>
						<volist name="vo.element_value" id="v">
							<option value="{BEESCRM:$v}">{BEESCRM:$v}</option>
						</volist>
					</select>
				<elseif condition="$vo['element_type'] eq 3" />
					<input class="submit_element date" id="{BEESCRM:$vo.field_id}" name="{BEESCRM:$vo.field_name}" type="text" placeholder="{BEESCRM:$vo.field_name}" readonly="readonly"/>
				</if>
			</p>
		</volist>
	</div>
<div><p>温馨提示：</p>
	<p>11111111111</p>
</div>
	<div class="btn-box">
		<if condition="$data['cost'] gt 0">
			<a href="javascript:;" class="btn bg-green enroll_submit" data-type="pay" data-id="{BEESCRM:$enroll_id}">提交并支付</a>
		<else />
			<a href="javascript:;" class="btn bg-green enroll_submit" data-type="submit" data-id="{BEESCRM:$enroll_id}">提交</a>
		</if>
	</div>
<include file="footer"/>